Spontaneous Closure of the Arterial Duct After Transcatheter Closure Attempt in Preterm Infants

Overview

Journal Children (Basel)

Specialty Health Services

Date 2021 Dec 24

PMID 34943334

Citations 1

Authors

Mathilde Meot

Raymond N Haddad

Juliana Patkai

Ibrahim Abu Zahira

Anna Di Marzio

Isabelle Szezepanski

Fanny Bajolle

Elsa Kermorvant

Alexandre Lapillonne

Damien Bonnet

Sophie Malekzadeh-Milani

Affiliations

Soon will be listed here.

Abstract

(1) Background: Transcatheter closure of the patent arterial duct (TCPDA) in preterm infants is an emerging procedure. Patent arterial duct (PDA) spontaneous closure after failed TCPDA attempts is seen but reasons and outcomes are not reported; (2) Methods: We retrospectively included all premature infants <2 kg with abandoned TCPDA procedures from our institutional database between September 2017 and August 2021. Patients' data and outcomes were reviewed; (3) Results: The procedure was aborted in 14/130 patients referred for TCPDA. Two patients had spasmed PDA upon arrival in the catheterization laboratory and had no intervention. One patient had ductal spasm after guidewire cross. Four patients had unsuitable PDA size/shape for closure. In seven patients, device closure was not possible without causing obstruction on adjacent vessels. Among the 12 patients with attempted TCPDA, five had surgery on a median of 3 days after TCPDA and seven had a spontaneous PDA closure within a median of 3 days after the procedure. Only the shape of the PDA differed between the surgical ligation group (short and conical) and spontaneous closure group (F-type); (4) Conclusions: In the case of TCPDA failure, mechanically induced spontaneous closure may occur early after the procedure. Surgical ligation should be postponed when clinically tolerated.

Citing Articles

Management of ductal spasm in a neonate with pulmonary atresia and an intact ventricular septum during cardiac catheterization: A case report.

Zhang X, Zhang N, Song H, Ren Y World J Clin Cases. 2022; 10(35):13015-13021.

PMID: 36568995 PMC: 9782928. DOI: 10.12998/wjcc.v10.i35.13015.

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